Inspection Reports for
Safe Haven – Brentwood II

2967 Honor Way, Brentwood, CA 94513, CA, 94513

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

100% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025

Census

Latest occupancy rate 0% occupied

Based on a May 2025 inspection.

Occupancy over time

0 3 6 9 12 Mar 2025 Apr 2025 May 2025

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: May 8, 2025

Visit Reason
An announced pre-licensing inspection was conducted as a continuance from a previous visit to evaluate the facility's readiness for licensing.

Findings
No issues were noted during the inspection. The facility was observed to be ready for licensing, with corrections made from the previous visit. The report will be submitted for final review and approval.

Report Facts
Notification timeframe: 5

Employees mentioned
NameTitleContext
Richard GrimeseyAdministratorMet with Licensing Program Analyst during inspection and made corrections from previous visit
Kevin ParkerLicenseeMet with Licensing Program Analyst during inspection
Tonica Syess-GibsonLicensing Program AnalystConducted the announced pre-licensing inspection
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Capacity: 6 Deficiencies: 0 Date: May 8, 2025

Visit Reason
The visit was a Case Management COMP III visit conducted to provide education and discuss regulations with the licensee and administrator as part of the licensing process.

Findings
The Licensing Program Analyst presented a Component III power point and discussed regulations. Participants gained knowledge about running and maintaining the facility in accordance with regulations. The facility has not yet been granted a license and is not to accept consumers until final approval.

Employees mentioned
NameTitleContext
Richard GrimeseyAdministratorMet with Licensing Program Analyst during the visit and discussed the purpose of the visit.
Kevin ParkerLicensee/AdministratorMet with Licensing Program Analyst during the visit and discussed the purpose of the visit.
Tonica Syess-GibsonLicensing Program AnalystConducted the Case Management COMP III visit.

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 8 Date: Apr 15, 2025

Visit Reason
The inspection was a prelicensing, unannounced visit conducted to evaluate the facility for initial licensure.

Findings
The Licensing Program Analyst toured the facility and observed several deficiencies including lack of grab bars near toilets, missing mattress pads for all beds, obstructed passageway in the garage, no covered area or exit signs in the backyard, an unlocked medicine cabinet, and an incomplete dementia plan. Hot water temperature was adjusted to meet requirements.

Deficiencies (8)
Hot water was initially measured at 128.8 degrees F in the common bathroom sink and was lowered to 125.1 degrees F.
Facility does not have a grab bar near toilet in one of the common restrooms.
Facility does not have mattress pads for all resident beds.
Facility has furniture in the garage obstructing passageway.
Facility does not have a covered area in backyard for residents in care.
Facility does not have exit signs in the backyard identifying emergency exit.
Facility does not have a properly locked medicine cabinet.
Dementia plan does not address behaviors such as ingestion of toxic chemicals and wandering behaviors.
Report Facts
Hot water temperature initial measurement: 128.8 Hot water temperature after adjustment: 125.1 Facility capacity: 6 Facility census: 0 Correction submission deadline: Apr 29, 2025

Employees mentioned
NameTitleContext
Richard GrimeseyAdministratorMet with Licensing Program Analyst during prelicensing inspection
Kevin ParkerLicenseeMet with Licensing Program Analyst during prelicensing inspection
Tonica Syess-GibsonLicensing Program AnalystConducted the prelicensing inspection
Harpreet HumpalLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: Mar 17, 2025

Visit Reason
The visit was conducted as an initial licensing evaluation for the Residential Care Facility for the Elderly.

Findings
The applicant and administrator participated in a COMP II telephone interview verifying their understanding of California Code Title 22 regulations and facility operation requirements. Identification was confirmed and signed documentation was obtained.

Employees mentioned
NameTitleContext
Richard GrimeseyAdministratorApplicant/administrator who participated in the COMP II interview and whose identification was verified.
Kevin ParkerParticipant in the COMP II interview.

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